Section 7319 - Evaluation Criteria for Crisis Stabilization, Crisis Residential Treatment, and Mobile Crisis Support Teams(a) Applications shall be scored on the following criteria: (1) Project expands access to and capacity for community-based Mental Health Crisis Services that offer relevant alternatives to hospitalization and detainment by law enforcement. (Maximum 25 points)(A) Project proposes new or expanded Crisis Stabilization, Crisis Residential Treatment and/or Mobile Crisis Support Team Programs to be funded by the Grant, describes the services within the Programs, and clearly identifies the Target Population(s), including age group(s), to be served. (Maximum 5 points)(B) Project meets the community need existing within the current continuum, seeks to address who does and does not receive services now, and is designed to address the weaknesses of the current system and build on its strengths. (Maximum 3 points)(C) Project increases capacity for community-based Mental Health Crisis Services. The Application shall identify the number of Crisis Stabilization and Crisis Residential Treatment beds that will be added and/or the number of Mobile Crisis Support Teams including the number of Mobile Crisis Support Team vehicles and staff that will be added; and how the added beds and/or team(s) impact the Target Population(s) and translates into a number of additional Children and Youth that can be served in the community. (Maximum 6 points)(D) Project expands and improves timely access to community-based Mental Health Crisis Services. The Application shall address how access is expanded and improved for the community. Examples include: extending hours of existing services; adding locations where services can be accessed by Children and Youth, as appropriate, and their family members; efforts to timely connect Children and Youth to crisis services from hospitals, educational institutions, detainment centers, juvenile hall, jail, etc.; engaging in new outreach to Children and Youth, as appropriate, and their families, and educational institutions so they know new or expanded services are available; and addressing cultural, language, and other barriers unique to the community. (Maximum 6 points)(E) Project is qualitatively different from crisis services delivered in an institutional setting (such as a hospital emergency room, an in-patient hospital setting or a law enforcement vehicle) and clearly describes the proposed staffing, the community setting in which the Programs will be offered and the building or vehicles in which services will be provided. (Maximum 5 points)(2) Application demonstrates a clear plan for a continuum of care before, during, and after crisis mental health intervention or treatment and for collaboration and integration with other health systems, educational institutions, social services, and law enforcement. (Maximum 15 points)(A) Project fits in with the continuum of care as it presently exists in the community. The Application identifies the shortcomings that exist within the continuum and how the Project will improve the existing continuum of care for Children and Youth utilizing Mental Health Crisis Services, including whether Applicant contemplates submitting an application to the Mental Health Oversight and Accountability Commission or has been awarded funding for triage personnel. (Maximum 5 points)(B) Application identifies working relationships with Related Supports that already exist and which will be established to enhance and expand community-based collaboration designed to maximize and expedite access to crisis services for the purpose of avoiding unnecessary hospitalization and detainment by law enforcement and improving wellness for Children and Youth with mental health disorders and their families. The existing working relationships shall be supported by letters from the Related Supports identifying the collaborative efforts amongst the agencies to enhance and expand crisis services. For example, an enhancement may include training of local law enforcement, current crisis providers, hospitals and other related providers on how to properly respond to Children and Youth experiencing a mental health crisis. (Maximum 10 points)(3) Identifies Key Outcomes and a Plan for Measuring Them. (Maximum 10 points)(A) Application includes methodology, timeline, and assignment of responsibility to measure and demonstrate outcomes of the Program, including the following: (i) Reduced hospital emergency room and psychiatric inpatient utilization. (Maximum 2 points)(ii) Reduced law enforcement involvement on mental health crisis calls, contacts, custodies and/or transports for assessment. (Maximum 2 points)(iii) Improvements in participation rates in the Program(s). (Maximum 1 point)(iv) Children and Youth (when appropriate) and/or their family members' (when appropriate) satisfaction with the crisis services the Children and Youth received. (Maximum 1 point)(v) Number of Crisis Residential Treatment and Crisis Stabilization beds; and/or number of Mobile Crisis Support Teams including the number of Mobile Crisis Support Team vehicles and staff added. (Maximum 1 point)(vi) Number of Children and Youth within the Target Population(s) being served and other Children and Youth who may be being served. (Maximum 1 point)(vii) The value of the Program(s), such as mitigation of costs to the county, law enforcement, or hospitals. An example of such value is: The utilization of Crisis Residential Treatment costs "X" dollars and utilization of inpatient hospitalization would have cost "X" dollars, therefore value approximates "X" dollars. (Maximum 1 point)(viii) The percent of Children and Youth who receive a crisis service who, within 15 days, and within 30 days, return for crisis services at a hospital emergency department, psychiatric hospital, detainment centers, juvenile hall or jail. (Maximum 1 point)(4) Project is, or will be, Ready, Feasible, and Sustainable. (Maximum 50 points) (A) Application provides a detailed plan and a timeline with steps needed to complete the Project and demonstrates the ability to meet the timeframes set forth in subdivision (H). Supporting documentation is provided, if available. (Maximum 15 points) (i) Address, renderings and/or floor plans of Project site, if available. If a Project site has not been identified, a description of the process, criteria for selection, and timeline for identification of Project site that will be utilized. (This subdivision is not applicable to Mobile Crisis Support Team Projects)(ii) Necessary approvals and processes to complete the Project, and the names and roles of all responsible entities. This includes, but is not limited to, County Board of Supervisors' approval, Request for Proposals, architectural and construction contracts, California Environmental Quality Act (CEQA) compliance, building permits, and conditional use permits, as applicable.(iii) Key milestones, in the future and completed to date, including projected or actual Project start date (i.e., date of purchase, renovation/construction or lease), Project end date (i.e., date of occupancy), and projected start date of services to Target Population(s).(iv) The plan and current status for staffing the Program(s).(v) Potential challenges that may affect the timeline to start providing services and how those challenges will be mitigated, including but not limited to, site identification and acquisition, contracting, local use permit process, County Board of Supervisors' approval, CEQA process, Building Code compliance, selection of service provider, licensure, certification, loss of a site, delays in local (city and/or county) approvals, community opposition issues, loss or reduction in leverage funding, and increased Project costs, as applicable.(B) Application describes and provides evidence of community outreach and engagement efforts for the proposed Program(s) in the vicinity of planned Project site, as applicable. (Maximum 7 points)(C) A qualified service provider has been identified or a plan is in place for identifying one and the following are addressed: (Maximum 8 points)(i) If a service provider that will operate the Program(s) has already been identified, written plans in place for how the treatment and/or services will be provided shall be described. These include a description of range of services offered and information about the service provider including expertise in mental health treatment, purpose, goals, and services of the organization.(ii) If a service provider has not been identified, the process, criteria for selection, and timeline for identification are clear.(D) For proposed crisis stabilization or crisis residential treatment programs, applicant describes a plan for obtaining Medi-Cal certification. (Required, but no points awarded)(E) For proposed crisis residential treatment programs, Applicant describes a plan for obtaining a license and program approval to operate as a Children's crisis residential program as defined in Health and Safety Code Section 1502, subdivision (a)(21). (Required, but no points awarded)(F) Application identifies total cost of the Project, and sufficient funding sources or a plan for acquiring them. (Maximum 10 points)(i) A line item of Project costs, including the proposed use of Grant funds.(ii) Project leverages public and/or private funding sources sufficient to complete the Project and includes the amounts and current status of funding.(iii) The total uses of funds shall not exceed the total amount of all available funding sources.(iv) A description of the Grantee's internal process to ensure the Grant funds will only be used for eligible costs as described in Section 7315.(G) Application includes: (Maximum 10 points) (i) A budget that details annual projected operating costs.(ii) A description of new Program funding sources with amounts and cash flow projections and/or how existing funding will be redirected to provide ongoing support for the useful life of the Project for new and expanded services.(iii) Documentation such as funding letters, minutes from the County Board of Supervisors' meeting evidencing approval of the budget, or other documentation acceptable to the Authority. If approval has not been obtained, a detailed plan for obtaining such approval is provided.(H) Application shall demonstrate the Project will be Ready, Feasible and Sustainable as follows: (i) Mobile Crisis Support Team Projects within nine months of the approval of the Final Allocation.(ii) Crisis Residential Treatment and Crisis Stabilization Projects that include acquisition of a building and/or renovation within 12 months of the approval of the Final Allocation.(iii) Crisis Residential Treatment and Crisis Stabilization Projects that include construction within 18 months of the approval of the Final Allocation.(I) Documentation indicating Lead Grantee's creditworthiness and satisfactory financial capacity in its most recent local government credit rating or the most recent Audited Financial Statement, which may not contain a Going Concern Qualification. (Required, but no points awarded) (i) Co-Applicants that are a private nonprofit corporation shall provide, upon request, Audited Financial Statements to Authority Staff.Cal. Code Regs. Tit. 4, § 7319
1. New section filed 11-26-2018 as an emergency; operative 11-26-2018 (Register 2018, No. 48). A Certificate of Compliance must be transmitted to OAL by 5-28-2019 or emergency language will be repealed by operation of law on the following day.
2. Certificate of Compliance as to 11-26-2018 order transmitted to OAL 4-22-2019 and filed 5-20-2019 (Register 2019, No. 21). Note: Authority cited: Sections 5848.5 and 5848.6, Welfare and Institutions Code. Reference: Section 5848.5, Welfare and Institutions Code.
1. New section filed 11-26-2018 as an emergency; operative 11/26/2018 (Register 2018, No. 48). A Certificate of Compliance must be transmitted to OAL by 5-28-2019 or emergency language will be repealed by operation of law on the following day.
2. Certificate of Compliance as to 11-26-2018 order transmitted to OAL 4-22-2019 and filed 5/20/2019 (Register 2019, No. 21).